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Asked: 2020-10-03T21:08:06+06:00 In: , , , ,

How we can differentiate between amoebic and bacillary dysentery?

Nasim
How we can differentiate between amoebic and bacillary dysentery?
amoebic dysenterybacillary dysenterydifference

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    1. Dr Md shahriar kabir B H M S; MPH
      Enlightened dr.basuriwala

      Difference between amoebic & bacillary dysentery are: 1. Causative organisms- Amoebic dysentery- Entamoeba Histolytica Bacilliary dysentery- Shigella species, Enterohaemorragic E. Coli, Vibrio parahemolyticus, Campylobacter jejuni. 2. Nature of lesion- Amoebic dysentery- Necrotic due to proteolyRead more

      Difference between amoebic & bacillary dysentery are:
      1. Causative organisms-
      Amoebic dysentery- Entamoeba Histolytica
      Bacilliary dysentery- Shigella species, Enterohaemorragic E. Coli, Vibrio parahemolyticus, Campylobacter jejuni.
      2. Nature of lesion-
      Amoebic dysentery- Necrotic due to proteolytic ferment.
      Bacillary dysentery- Suppurative due to diffusible toxins.
      3. Depth of ulcer-
      Amoebic dysentery- Usually depth
      Bacillary dysentery- Shallow
      4. Margine of ulcer-
      Amoebic dysentery- Ragged & undermined.
      Bacillary dysentery- Uniform, clear cut.
      5. Intervening mucus-
      Amoebic dysentery- Normal
      Bacillary dysentery- Inflammed
      6. Types of necrosis-
      Amoebic dysentery- Pyknotic
      Bacillary dysentery- Karyolysis
      7. Liver abscess- as a complication
      Amoebic dysentery- Common
      Bacillary dysentery- Rare
      8. Cellular response-
      Amoebic dysentery- Mononuclear
      Bacillary dysentery- Polymorphoneuclear
      9. Onset-
      Amoebic dysentery- Gradual
      Bacillary dysentery- Acute
      10. General conditions-
      Amoebic dysentery- Normal
      Bacillary dysentery- Poor
      11. Fever-
      Amoebic dysentery- Little in adult
      Bacillary dysentery- High grade
      12. Tenesmus-
      Amoebic dysentery- Moderate
      Bacillary dysentery- Severe
      13. Dehydration-
      Amoebic dysentery- Little in adult
      Bacillary dysentery- Frequent
      14. Faeces-
      Amoebic dysentery- Trophozoites present
      Bacillary dysentery- Trophozoites absent
      15. Culture-
      Amoebic dysentery- Negative
      Bacillary dysentery- Positie
      16. RBC in stool-
      Amoebic dysentery- In clumps
      Bacillary dysentery- Discrete
      17. Pus cells in stool-
      Amoebic dysentery- Few
      Bacillary dysentery- Numerous
      18. Ghost cells-
      Amoebic dysentery- Absent
      Bacillary dysentery- Present
      19. Stool motions-
      Amoebic dysentery- 6-8/ day
      Bacillary dysentery- Over 10/ day
      20. Stool amounts-
      Amoebic dysentery- Relatively large
      Bacillary dysentery- Small
      21. Odors –
      Amoebic dysentery- Offensive
      Bacillary dysentery- Odorless
      22. Color of blood-
      Amoebic dysentery- Dark red (altered blood)
      Bacillary dysentery- Bright red ( fresh blood)
      23. Consistency-
      Amoebic dysentery- Loose or formed mucous
      Bacillary dysentery- Viscid
      24. Reaction-
      Amoebic dysentery- Acid
      Bacillary dysentery- Alkaline
      25. Eosinophils-
      Amoebic dysentery- present (many)
      Bacillary dysentery- Very few

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